Active NPI
Lindsey Lee Cervi-Skinner, LMT
- Specialist
- Sherwood, OR
National Provider Identifier
1629345673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13735
- Practice address
- 16455 SW Langer Dr
Sherwood, OR 97140-7706 - Phone
- (503) 625-1808
- Fax
- (503) 625-1824
- NPI assigned
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13735 | OR | Primary |
Addresses
Primary practice location
16455 SW Langer Dr
Sherwood, OR 97140-7706
Mailing address
PO Box 1288
Sherwood, OR 97140-1288
Phone (503) 625-1808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13735 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1629345673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971401288",
"telephone_number": "503-625-1808",
"fax_number": "503-625-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16455 SW LANGER DR",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971407706",
"telephone_number": "503-625-1808",
"fax_number": "503-625-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVI-SKINNER",
"first_name": "LINDSEY",
"middle_name": "LEE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "13735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.